NPI | 1780223578 |
---|---|
Former Name | THERESA NEMERGUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015570) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.20191267-SP) |
235Z00000X Speech-Language Pathologist, (Licence: OH SP.14288) | |
Enumeration Date | 2019-12-27 |
Last Update Date | 2021-03-23 |